PR State Updates - 2015 Jan 15 No.01

On Nov. 24, 2015, Commissioner of Insurance Weyne-Roig issued Circular Letter CC-2015-1868-D, which addresses the impact of the PACE Act in Puerto Rico. As background, the PACE Act repeals a PPACA requirement that changed the definition of “small employer” to an employer with between 1 and 100 employees.

According to the Circular Letter, the Puerto Rico Insurance Code provides that as of Jan. 1, 2016, employers with more than 100 employees will be considered to be large groups. Furthermore, the rates for health insurance for small groups for 2016 have already been approved, taking into consideration the aforementioned definition and will enter into effect Oct. 1, 2015. Therefore, Puerto Rico will continue to use the definition of small group that is to enter into effect in 2016 and employers who have between two and 100 employees will be considered to be small groups.

The Circular Letter clarifies that groups of 50 to 100 employees will be considered small groups in the event of the renewal of the health insurance plan.

Circular Letter CC-2015-1868-D »